Individual
MRS. KATHERINE GIBSON ANDREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, RD, LDN
Contact information
Practice address
2311 BYRD ST, RALEIGH, NC 27608-1411
(919) 559-9475
Mailing address
2311 BYRD ST, RALEIGH, NC 27608-1411
(919) 559-9475
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
995338
NC
133V00000X
Registered Dietitian
L003195
NC
Other
Enumeration date
08/09/2013
Last updated
02/10/2021
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